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Organization
BRIARCLIFF PHARMACY, INC
Active
Organization
BRIARCLIFF PHARMACY, INC
Active
Other names
BRIARCLIFF PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MARQUESS (OWNER)
(678) 285-0760
Entity
Organization
Contact information
Practice address
2724 CLAIRMONT RD NE, ATLANTA, GA 30329-2760
(404) 728-0092
(404) 633-8905
Mailing address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 285-0760
(770) 971-0315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHRE008616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199886A
—
GA
01
—
2176476
PK
—
Enumeration date
03/22/2018
Last updated
03/22/2018
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